HomeMy WebLinkAboutFILLED LAND AFFIDAVIT_ PLANNING & DEVELOPMENT SERVICES DEPARTMENT
{ e ` Building & Code Regulations Division
2300 VIRGIMAAVENUE
1 FORT PIERCE, FL 34952-5652
(772) 462-1553
SCANNED
BY FILLED LAND AFFIDAVIT L
St. Lucie County
I, the undersigned, am the owner ofthe following described property,
JAN 3 0 2018
1431-120-0000-00016 4551 St. Lucie Blvd., Ft. Pierce, FL 34946
(Parcel Id#/Legal description/Address)
for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
Property Owner Name (Please Print) V z
1
roperty Owner Signature Date
STATE OF FLORMA, COUNTY OF -A • LoriP
ACI�NOOWLEDGEDHFFFOOR��EMETHIS d01 DAY OF IVV ,
By D. 5'(�-Ibonlf WHO IS PERSONALLY KNOWN TO ME cif, ORWHO HAS
AS IDENTIFICATION.
TANME R BEASLEY
MY COMMISSION # GG071444
EXPIRES March 10$ al
SLCPDSD Revised 04/11/2011
Permitting